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General NPI Number Information
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NPI Number | 1023099777
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Entity Type | Individual
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Provider Name | ERIC BOWMAN PHD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 11/08/2008
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Provider Practice Location Address
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Address Line | 49 OLD SOLOMONS ISLAND RD STE 303
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3854
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Country | US
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Telephone | 410-573-1944
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Fax | 410-573-1972
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Provider Business Mailing Address
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Address Line | 1509 RITCHIE HWY STE F
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City | ARNOLD
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State | MD
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Zip | 21012-2742
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Country | US
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Telephone | 410-757-2077
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Fax | 410-757-5184
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01928
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License Number State | MD
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